Malia Laurie, Wang Alicia, Scheiner Laurie, Laurich V Matt
From the Connecticut Children's Medical Center, Hartford, CT.
Pediatr Emerg Care. 2019 Sep;35(9):e174-e176. doi: 10.1097/PEC.0000000000001491.
A late preterm infant presenting with supraventricular tachycardia (SVT) was admitted to the pediatric intensive care unit because of poor systolic function seen on echocardiogram. The hospitalization was complicated by multiple breakthrough episodes of SVT requiring ice placed on the face during each repeat episode. The infant was later diagnosed as having cold panniculitis secondary to the application of ice to the face on multiple occasions. In children who are hemodynamically stable during SVT episodes, ice is used as first-line treatment. It is important to be aware of how often ice is being applied to the face and the duration of time to limit complications such as cold panniculitis.
一名晚期早产儿因超声心动图显示收缩功能不佳而入住儿科重症监护病房，该患儿出现室上性心动过速（SVT）。住院期间，多次出现室上性心动过速的突破性发作，每次发作时都需要在面部冰敷，这使病情变得复杂。该婴儿后来被诊断为因多次面部冰敷继发冷性脂膜炎。对于室上性心动过速发作时血流动力学稳定的儿童，冰敷被用作一线治疗方法。重要的是要了解面部冰敷的频率和持续时间，以限制诸如冷性脂膜炎等并发症的发生。
